Reason Code 31837

Published 07/24/2025

Description

  • Dates of Service are on or after Jan. 1, 2015, the HCPC has a status code of "M" (on revenue code line 96x, 97x, 98x), and the charges are covered. Dates of service are on or after Aug. 1, 2025. The reason code will assign on RHC claims TOB 71X billing Category II HCPCS with Status indicator equal to "M" or "E1" on claim page 31.
  • This procedure code is for quality reporting/informational purpose only

Resolution

Review the claim for appropriate coding and resubmit for processing.  

Education Resources


Was this article helpful?